Roger'S Foodland

LBN: Vineland Foodland Inc
Roger'S Foodland is an health care organization with primary practice located at 4039 Hollywood Rd , Saint Joseph MI 49085-9156. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Vineland Foodland Inc can be contacted via phone (269) 408-1348, or through Seely, Pam via phone (269) 429-9661.

Contact Information

Primary practice address
4039 Hollywood Rd Saint Joseph MI 49085-9156
Fax: (269) 408-1381
Website:
Authorized official contact:
Name: Seely, Pam

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 5301009399 Michigan
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1043531718
LBN Legal business name Vineland Foodland Inc
DBA Doing business as Roger'S Foodland
Authorized official Seely, Pam
Entity Organization
Organization subpart 1 No
Enumeration date Jun 17th, 2010
Last updated Jan 8th, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043531718 NPPES
Other 2126116 PK
MEDICAID 1043531718 PK

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